Chabad Hebrew School Registration        
2021-20122 5782
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Email *
Childs Name: *
Hebrew  Name:
Birthdate *
Home Address *
Grade Entering this year *
Moms cell phone number:
Dads cell phone number:
Hebrew Reading Proficiency *
Emergency Contact Information *
• Tuition for the coming year will be $600, which includes book and miscellaneous fees *
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